The federal government was given the power of impeachment, the power to tax and collect taxes, to regulate both foreign and state to state commerce, to make and enforce immigration laws, create a monetary system, create and fund a military for national defense, and the power to declare war on other nations. When it came to things like health care initiatives, alcohol laws, and education (just to name a few), those were issues that were originally intended to be addressed on a state level, not a federal one.
The federal government was not designed or intended to be a provider for the people, but instead to protect peoples individual freedoms and rights so they could provide for themselves. It was never intended to guarantee an individuals happiness. It was created to guarantee that every individual had the freedom and legal right to pursue their own happiness. In other words, on an individual level, the only thing the federal government was every supposed to provide people with, was opportunity... not results.
It's called "Freedom"... The freedom to succeed, and the freedom to fail.